title: New exposure technique for management of giant internal carotid artery aneurysm.
abstract: We are presenting a case of giant internal carotid artery aneurysm (ICAA) managed by a new exposure technique. Following double mandibular osteotomy, the exposure of the entire aneurysm was achieved by mandible mobilization. The aneurysm repair was performed by resection and graft interposition. Mandible bone reconstruction was succeeded via mini plate osteosynthesis. No adverse events were noticed during the 24-month follow-up period. The surgical ICAA management is necessary to prevent severe complications. In cases of aneurysm extension to the skull base, double mandibular osteotomy is a safe technique that facilitates aneurysm exposure and control.
authors.affiliation: First Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece. kirktenidis@gmail.com
authors.forename: Kiriakos
authors.initials: K
authors.lastname: Ktenidis
authors.forename: Athanasios
authors.initials: A
authors.lastname: Lioupis
authors.forename: Aggelos
authors.initials: A
authors.lastname: Megalopoulos
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Antoniadis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Kiskinis
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D019917:Blood Vessel Prosthesis Implantation; D001860:Bone Plates; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D008334:Mandible / Q000601:surgery*; D010027:Osteotomy / Q000295:instrumentation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome